Texas Drinking Water

We need a little info!

Please check all items that may apply.
Commercial / Industrial

InstallationsService / MaintenanceRepairSystem Rentals (Including Ice Machines & POU Coolers for Drinking Water)
Residential

City WaterCo-opPrivate WellName of Utility Company (if applicable):
Name of Utility Company (if applicable)
Whole Home Solutions

Chlorine/Chloramines (Smell)Iron (Staining Issues)Odor Issues (Sulfur (Rotten Egg Smell) / Other Contaminants)Sediment (Un-dissolved Particles in Water)Hard Water (Scaling, Corrosion)Whole Home Reverse Osmosis (Ultra Purification for Every Faucet)
Drinking Water Purity & Safety

Taste / Smell IssuesEnagic (R) Machines / Electrolyzed Water / Kangen (R) Water / Alkaline WaterFluoride RemovalChlorine RemovalPharmaceuticals, VOCs, Bacteria, VirusesReverse Osmosis SystemsFiltered Ice
Other / Specialty

De-ionized WaterUV (Ultraviolet)OzoneResidential System RentalsOther
Name

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Type

New ConstructionExisting HomeOther
How many adults occupy the home?
How many children occupy the home?
Will you be occupying the home regularly

YesNo
Phone Number*
Phone Number Type*
Time Frame for Completion
Are you interested in financing?

NoYes
Would you like to schedule a free in-store water test?

YesNo
Testing Information:

On-Site = $99 + (Varies by location)

In-Store or Mail-In = FREE (with interest expressed in purchasing, renting, leasing; otherwise $25)

For In-Store Tests:

Sulfur can only be tested on-site. However, you will know if you have a sulfur issue. If you don't smell rotten eggs, you don't have a sulfur issue. We also can't test chlorine unless we receive the sample within 60 minutes after drawing it. Please bring a 16 ounce water bottle with the water you would like tested/treated. If you want us to test your chlorine levels, please squeeze all of the air out of the bottle (the water will start overflowing) and then put the lid on, creating a vacuum. Put the water sample on ice and bring it to us within 60 minutes.

You can also mail the sample to us in a priority mail envelope at our address:

Texas Drinking Water Systems

Water Testing

234 SW Wilshire Blvd,

Burleson, TX 76028
Should be Empty:

We need a little info!